KEYONA R HALL LCPC
NPI 1043720055
Counselor - Mental Health in Clinton, MD

Active since October 04, 2017PECOS Enrolled
9015 WOODYARD RD STE 208, CLINTON, MD 20735(301) 356-3818 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2021, Feb 21, 2019 (2 updates tracked since 2019).

About Keyona R Hall Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEYONA R HALL LCPC (NPI 1043720055) is an individual mental health provider in Clinton, Maryland, licensed in Maryland (LC8320) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043720055
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKEYONA R HALLCredential: LCPC
Location Address9015 WOODYARD RD STE 208Clinton, MD 20735-4209
Mailing Address9015 Woodyard Rd Ste 208Clinton, MD 20735-4209 · (301) 356-3818 · Fax (240) 250-5521
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 4, 2017
Last NPPES UpdateOctober 14, 20212 updates tracked since enumeration
NPPES CertifiedOctober 14, 2021
✔ NPI 1043720055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in MD · LC8320✔ Licensed in MD · LGP6737
9015 WOODYARD RD STE 208, Clinton, MD 20735

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keyona R Hall Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395213136
PECOS Enrollment IDI20260511000015, I20260513000499
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Keyona Hall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
2 POST OFFICE RD STE 1B
Waldorf, MD 20602
  • Reassigned Medicare billing, Maryland enrollment
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,424 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Mental Health)
9015 WOODYARD RD STE 208
CLINTON, MD 20735
Social Worker
9015 WOODYARD RD STE 208
CLINTON, MD 20735
Counselor (Professional)
9015 WOODYARD RD STE 208
CLINTON, MD 20735

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keyona Hall's NPI number?

The NPI number for Keyona Hall is 1043720055. It was assigned to this individual provider in the NPPES registry on October 4, 2017.

Where is Keyona Hall located?

Keyona Hall practices at 9015 Woodyard Rd Ste 208, Clinton, MD 20735. The listed phone number is (301) 356-3818.

What is Keyona Hall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Keyona Hall enrolled in Medicare?

Yes. Keyona Hall is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Keyona Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keyona Hall reassigns Medicare benefits to 2 organizations: Enlighten Therapeutic & Consulting Services, LLC (Waldorf, MD) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keyona Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keyona Hall was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.